Concerns After Circumcision
Dear Doctor,
It has been 1 month and 3 days since my circumcision, but the sutures have hardly dissolved.
The wound seems to be healing well.
Yesterday, I cut and removed one of the sutures myself.
There was no pain or bleeding during the removal, but I regret it afterward and am worried that the wound might reopen.
If I engage in vigorous activities (like baseball) or ride a motorcycle, is there a risk that the area where I removed the suture could reopen? I will be returning to school in Hualien on September 14, but I had the procedure done in Taipei.
It would be inconvenient to return for a check-up if there are any issues, and I am unsure where to seek medical attention in Hualien.
This situation is causing me significant anxiety.
Xiao Guang, 10~19 year old female. Ask Date: 2003/09/08
Dr. Xu Weikai reply Urology
If the wound from the circumcision heals well, the sutures can be removed.
Generally, circumcision surgeries use absorbable sutures, commonly known as catgut, which typically dissolve on their own after about two weeks; however, some individuals may experience slower absorption.
If it exceeds one month, I usually recommend that patients have the sutures removed.
If the wound has healed properly, vigorous exercise should not cause the wound to reopen, unless it involves sexual activity.
I recommend avoiding sexual intercourse for at least two months post-surgery.
If there are any concerns, I still advise seeking treatment from a specialized clinic.
There are many hospitals in Hualien where you can seek care, such as Tzu Chi Hospital or other smaller hospitals like Mennonite Hospital and Hualien County Hospital.
Reply Date: 2003/09/08
More Info
After circumcision, it is common to have concerns regarding healing, stitches, and the risks associated with physical activity. Based on your description, it seems that you are about 37 days post-operation, which is generally a sufficient amount of time for initial healing to occur. However, the presence of stitches that have not yet dissolved can be a source of concern, especially if you have taken the step of cutting one of them yourself.
First and foremost, it is important to understand that the healing process can vary significantly from person to person. While many individuals may experience complete healing within a few weeks, others may take longer, especially if there are factors such as infection, tension on the wound, or individual healing characteristics at play. The fact that your wound appears to be healing well is a positive sign, but it is crucial to monitor it closely for any signs of complications.
Regarding your specific concern about the stitches and the potential for the wound to reopen during physical activities such as playing baseball or riding a motorcycle, here are a few points to consider:
1. Stitches and Healing: If the stitches are still intact and the wound is healing well, there is generally a lower risk of the wound reopening. However, if you have removed a stitch, it is essential to ensure that the area remains clean and dry. The body typically has a natural healing process that can compensate for the removal of a stitch, but it is crucial to avoid putting undue stress on the area.
2. Physical Activity: Engaging in vigorous activities such as playing sports or riding a motorcycle can increase the risk of strain on the healing tissue. It is advisable to avoid such activities until you are confident that the wound is fully healed. If you feel any discomfort or notice any changes in the wound area during physical activity, it is best to stop and rest.
3. Signs of Complications: Keep an eye out for any signs of infection or complications, such as increased redness, swelling, discharge, or pain at the site of the incision. If you notice any of these symptoms, it is crucial to seek medical attention promptly.
4. Follow-Up Care: Since you mentioned the difficulty of returning to your original clinic in Taipei, consider finding a local healthcare provider in Hualien who can assess your healing process. Even if you feel that the wound is healing well, a professional evaluation can provide peace of mind and ensure that you are on the right track.
5. Emotional Well-Being: It is natural to feel anxious about your recovery, especially with the added stress of returning to school. Consider discussing your concerns with a trusted friend or family member, or even a counselor, to help alleviate some of the anxiety you are experiencing.
In conclusion, while it is understandable to be concerned about the healing process after circumcision, it is essential to monitor the wound closely and avoid activities that may put stress on the area. If you have any doubts or notice any concerning symptoms, do not hesitate to seek medical advice from a healthcare professional in your area. Your health and peace of mind are paramount, and addressing your concerns with a qualified provider can help ensure a smooth recovery.
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